Pass MRCP Part 1,
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- Visual cards for pattern recognition
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A 58-year-old man is referred with three weeks of progressive abdominal distension and bilateral ankle swelling. He has drunk around 60 units of alcohol per week for two decades. On examination he has spider naevi, palmar erythema and gynaecomastia, with shifting dullness on percussion. He is afebrile and reports no abdominal pain.
A diagnostic ascitic tap is performed, with a serum albumin taken the same day:
| Investigation | Result |
|---|---|
| Ascitic appearance | Clear, straw-coloured |
| Ascitic albumin | 8 g/L |
| Serum albumin (same day) | 30 g/L |
| Ascitic total protein | 14 g/L |
| Ascitic neutrophils | 90 cells/mm³ |
Which is the single most likely underlying cause of his ascites?
SAAG = serum albumin − ascitic albumin = 30 − 8 = 22 g/L. A high gradient (≥ 11 g/L) means portal hypertension; the stigmata of chronic liver disease point to cirrhosis.
The serum–ascites albumin gradient (SAAG) is the single most useful test for classifying ascites. Here SAAG = 30 − 8 = 22 g/L. A gradient of ≥ 11 g/L indicates portal hypertension, and the alcohol history plus spider naevi, palmar erythema and gynaecomastia make cirrhosis the cause. A low ascitic total protein (< 25 g/L) fits a transudative cirrhotic picture, and a neutrophil count < 250 cells/mm³ excludes infection.
See how Visual Cards work
One image, one exam pearl. Each card turns a high-yield topic into a picture your brain actually keeps — built for pattern recognition, not walls of text.
A whole topic on a single, memorable card
- Clinical images and diagrams instead of long paragraphs — so patterns stick.
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- Grouped into specialty decks you can swipe through in minutes.
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1,200+ visual cards across 17 specialties — and growing.
Recall Cards to make it stick
Spaced-repetition flashcards straight from the bank — rate what you remember and the deck decides when you see it again.
Spaced repetition, built around the exam
- Rate each card: Forgot, Unsure, or Knew it — reschedules automatically.
- Forgot repeats after 5 cards; Unsure repeats after 10.
- Knew it banks the card as mastered.
- One-line question, one-line answer — ideal for daily reps.
- Every card includes a high-yield exam pearl.
3,000 recall cards across all 17 specialties.
Why you can trust the content
No recycled banks, no filler — and no invented statistics.
Written from scratch
Every question is mapped to the MRCP Part 1 blueprint and specialty weighting, never reworked from existing banks — so coverage matches the real paper.
Explanations that discriminate
Each answer names the deciding feature, breaks down why every distractor fails, and ends with high-yield key points — the way you actually learn.
By a doctor, for the exam
Built by a doctor who's been through MRCP preparation. An independent educational platform — not affiliated with or endorsed by MRCP(UK) or the Royal College of Physicians.
Built for the exam, not just for content
Every tool is tuned to how MRCP Part 1 is actually examined.
Smart Question Bank
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15 Full Mock Exams
Split into 30 timed papers — 100 questions each, 3 hours per paper — with full explanations and an exam-readiness estimate.
Concept Modules
Topic-by-topic notes written for MRCP, covering all 17 blueprint specialty areas.
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Turns your mistakes into a plan — the right Concept Modules page, visual card, recall set or targeted Q-Bank block to fix each weak spot.
Clinical Differentials
Side-by-side tables to separate look-alike conditions — the classic exam-trap solver.
Visual & Recall Cards
1,200+ image-based visual cards plus 3,000 spaced-repetition recall cards across all 17 specialties.
How it works
A simple cycle that turns questions into retained knowledge.
Practise
Pick a speciality or sit a timed mock. Commit your answer before the result is revealed — that's where retention starts.
Learn the discriminator
Contrastive explanations show why your choice was wrong and the right one is right, with a one-line clincher to remember it by.
Target weak areas
Analytics surface your weakest specialities against the blueprint, so you revise what actually moves your score.
Why The IMG Bank
What sets it apart from the banks everyone's already seen.
Original questions
Not the same recycled stems doing the rounds — fresh vignettes you won't have memorised.
Weighted to the blueprint
Question counts mirror the real exam's specialty weighting, so your practice matches the paper.
Made for IMGs
Written with international graduates in mind — clear, exam-focused, and assumption-free.
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